43268 — Endo Cholangiopancreatograph
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ENDO CHOLANGIOPANCREATOGRAPH (HCPCS 43268) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43268?code_type=HCPCS
MLA (9th ed.)
“ENDO CHOLANGIOPANCREATOGRAPH (HCPCS 43268) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43268?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ENDO CHOLANGIOPANCREATOGRAPH (HCPCS 43268) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43268?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,774–$5,305 (25th–75th percentile) across 455 hospitals · 253 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43268 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the physician and sedation fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,774
$2,787 typical
$5,305
The middle 50% of negotiated facility rates for this procedure, measured across 455 hospitals. The physician and sedation fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,787 |
| Anesthesia Estimate national typical Generic anesthesia (~30 min typical, median CMS base units). Medicare $123 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $386 |
| Likely subtotal | $3,173 |
Complete-episode estimate (typical)
~$3,173
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $1,774–$5,305.
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$6,958
- Endoscopist (professional fee): no Medicare benchmark for 43268 — leg omitted.
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 4 base units (typical CMS value) × ~30 min; approximate, NOT a procedure-specific crosswalk
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | CHIP | $66.88 | $7,327.00 | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | Managed Medicaid | $66.88 | $7,327.00 | — | 2025-12-02 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Nap | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha-Asa | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Src | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Other | — | — | — | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | BCBS | BlueSelect | $127.31 | $7,327.00 | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | BCBS | Health Options HMO | $127.31 | $7,327.00 | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | BCBS | NetworkBlue | $141.10 | $7,327.00 | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | BCBS | PPO_PPC | $184.60 | $7,327.00 | — | 2025-12-02 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $195.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $195.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $195.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $195.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | BCBS | Traditional | $202.63 | $7,327.00 | — | 2025-12-02 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $246.19 | — | — | 2026-04-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $250.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $263.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Arkansas Total Care | Managed Care | $297.00 | $1,333.00 | $866.45 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Total Care | Managed Medicaid | $297.00 | $1,333.00 | $759.81 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Empower Healthcare Solutions | Managed Medicaid | $297.00 | $1,333.00 | $759.81 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | CareSource | Managed Care | $297.00 | $1,333.00 | $866.45 | 2025-06-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $299.39 | $8,073.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | TRICARE (HLTHNT) - ALL PLANS | TRICARE (HLTHNT) - ALL PLANS | $308.85 | $8,073.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BLUE CROSS MED ADV | BLUE CROSS MED ADV | $315.15 | $8,073.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CAREMORE MED ADV - ALL PLANS | CAREMORE MED ADV - ALL PLANS | $315.15 | $8,073.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | KAISER MED ADV | KAISER MED ADV | $315.15 | $8,073.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $315.15 | $8,073.50 | — | 2026-05-11 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $328.50 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | JIB | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Centivo | Centivo Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Preferred | — | — | — | 2026-04-01 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CENTRAL HP MED ADV | CENTRAL HP MED ADV | $330.91 | $8,073.50 | — | 2026-05-11 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Healthcare Highways | Commercial | $336.00 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Triwest | Commercial | $352.80 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Humana Choicecare | Medicare Advantage | $352.80 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Texas Dual Medicare Advantage | Medicare Advantage | $352.80 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Tricare Prime West Tw | Commercial | $352.80 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Christus Health Plan | Commercial | $352.80 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Triwest | Va | $352.80 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Bav | $361.20 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Texas Mutual | Workers Comp | $363.38 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Hmo | $378.00 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Superior | Managed Medicaid | $383.04 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Curative | Commercial | $388.08 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HEALTH PARTNERS | $397.49 | — | — | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HPI | $397.49 | — | — | 2025-12-28 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Both | Direct Health | Direct Health | $398.66 | $1,711.00 | $1,026.60 | 2026-07-17 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Ppo | $420.00 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $425.98 | — | — | 2026-07-18 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $425.98 | — | — | 2026-09-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $425.98 | — | — | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $425.98 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $425.98 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $425.98 | — | — | 2026-07-18 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $425.98 | — | — | 2026-03-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $425.98 | — | — | 2024-10-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $425.98 | — | — | 2026-07-15 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-04-01 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $438.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $438.00 | — | — | 2026-04-01 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $438.00 | — | — | 2026-04-01 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | 1199 SEIU | Commercial | $438.00 | — | — | 2026-04-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $438.00 | — | — | 2026-04-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $438.00 | — | — | 2025-08-06 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2026-09-05 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $438.00 | — | — | 2026-04-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $438.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $438.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $438.00 | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH BAYFRONT HOSPITAL OutpatientFacility | Careplus | Medicare Managed Care Plan | $445.00 | — | — | 2026-04-01 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | AlohaCare | ABD | $469.71 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | ABD | $469.71 | — | — | 2026-02-12 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $470.18 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $470.18 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $470.18 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $470.18 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $470.18 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $470.18 | — | — | 2026-03-01 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana Health Plan | Quest ABD | $483.00 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Ohana Health Plan | Quest ABD | $483.00 | — | — | 2026-02-12 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS OutpatientFacility | Humana | Medicare Managed Care - Hmo | $506.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $510.95 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $510.95 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $510.95 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $510.95 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN BROKEN ARROW Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $510.95 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $510.95 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $510.95 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $510.95 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $510.95 | — | — | 2026-01-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $517.49 | — | — | 2026-04-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | $527.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $527.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Evolutions Healthcare Systems Guardian Resources | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Tyson Foods | Workers Compensation | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Blue Cross Of Idaho | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | St. Alphonsus Health Alliance, Inc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Regence Blue Shield Of Idaho | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Interwest Health, Llc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Selecthealth Inc | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Prison Health Services | Idaho Department Of Correction | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Preferred Health Network | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | First Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | First Choice Of The Midwest | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Integrated Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Selecthealth Inc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Usa Managed Care Organization | Workers Compensation | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Cigna Healthcare | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | First Health | Workers Compensation | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Idaho Physicians Network | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Shoshone Paiute Tribes Of Duck Valley | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Health Net Federal Services, Inc. | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Preferred Health Network | Workers Compensation | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Corechoice | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Moda Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Pacificsource Health Plans | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Government Employees Hospital Association (Geha) | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Mutual Of Omaha | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Corvel Corporation | Workers Compensation | $530.04 | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Multiplan, Inc. | Commercial Primary Network | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | First Choice Health Network, Health Care Direct, Llc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Galaxy Health Network | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Multiplan, Inc. | Commercial Complementary Network | — | — | — | 2026-07-15 | MRF ↗ |
| ADVENTHEALTH TAMPA OutpatientFacility | Humana | Medicare Managed Care - Hmo | $537.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Carrollwood OutpatientFacility | Humana | Medicare Managed Care - Hmo | $537.00 | — | — | 2026-04-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Advantage | $551.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Outpatient | Uh Military Va | Tricare | $558.90 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Coventry | Hmo/Pos/Ppo | $561.53 | — | — | 2026-07-18 | MRF ↗ |
| DOCTORS' CENTER HOSPITAL, INC Outpatient | Humana | Commercial | $562.00 | $3,200.00 | $3,200.00 | 2025-10-20 | MRF ↗ |
| DOCTOR'S CENTER DE SAN JUAN Outpatient | Humana | Commercial | $562.00 | $3,200.00 | $3,200.00 | 2025-10-20 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Essentials | $576.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | HMO | $584.30 | — | — | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | PPO | $584.30 | — | — | 2025-12-29 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Healthsmart | Commercial | $588.00 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Cigna | Medicare Advantage | $594.76 | — | — | 2025-10-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Initial Group | Commercial | $596.90 | — | — | 2026-07-18 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | HUMANA | HUMANA CHOICECARE | $600.00 | $3,418.00 | $212.00 | 2025-01-21 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Healthnet | Tricare | $602.37 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Healthnet | Tricare | $602.37 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Outpatient | Health Net Fed Svcs | Tricare | $602.37 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | Health Net Fed Svcs | Tricare | $602.37 | — | — | 2026-07-15 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Commercial | $608.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | PPO | $608.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Managed Medicaid | $611.04 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | First Health | Commercial | $617.68 | — | — | 2026-07-18 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Highmark All Commercial Plans | $619.81 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Medicare Managed Care Plan | $619.81 | — | — | 2026-04-01 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | Bcbs Tx | Tricare | $621.00 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Outpatient | Bcbs Tx | Tricare | $621.00 | — | — | 2026-07-15 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Highmark Hmo/Pos | $637.67 | — | — | 2026-04-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $638.46 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $638.46 | — | — | 2026-05-06 | MRF ↗ |
| ADVANCED SURGICAL HOSPITAL Outpatient | Veteran Administration | Veterans Choice | $639.00 | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Healthsmart Preferred Care | Commercial | $648.00 | — | — | 2026-07-15 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Charter | Commercial | $659.40 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| HARRIS HEALTH Outpatient | Cigna | Commercial | $660.00 | — | — | 2026-09-21 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $660.85 | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Outpatient | PPOM | 934_PPOM 20191001 | $660.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $660.85 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | $660.85 | — | — | 2026-01-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan - Dhp | $666.00 | — | — | 2026-07-18 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield | PPO_HMO_EPO | $669.26 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield | PPO_HMO_EPO | $669.26 | — | — | 2026-03-27 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc All Savers | Commercial | $672.00 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Cigna Healthcare Of Texas Inc | Commercial | $672.00 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Claritev | Commercial | $672.00 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Surest | Commercial | $672.00 | $840.00 | $504.00 | 2026-09-21 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.